한국 중고령층의 폐쇄성 수면무호흡증 위험과 주관적 건강 및건강 관련 삶의 질 간의 연관성 (Association between Risk of Obstructive Sleep Apnea and Subjective Health and Health-Related Quality of Life of the Korean Middle-Aged and Elderly Population)

서지정보

· 발행기관 : 한국보건행정학회
· 수록지 정보 : 보건행정학회지 / 34권 / 2호 / 141 ~ 155페이지
· 저자명 : 전누리, 김민수, 양정민, 김재현

초록

Background: This study aimed to identified the relationship between the risk of obstructive sleep apnea, subjective health, and health-relatedquality of life among the middle-aged and elderly population in Korea.
Methods: Adults aged 40 or older were extracted from the total 22,559 respondents to the 2019–2020 Korea National Health and NutritionExamination Survey VIII, and secondary analysis was conducted on a total of 6,659 middle-aged and elderly people with no missing values.
Logistic regression analysis and multiple regression analysis were conducted to examine the relationship between obstructive sleep apnea riskfactors and subjective health as well as quality of life.
Results: The subjective health status decline in the high-risk group compared to the non-risk group for obstructive sleep apnea was statisticallysignificantly higher, with an odds ratio of 1.84 (p<0.001). The health-related quality of life was also statistically significantly lower by 0.02 points(β, –0.02; p<0.001). As a result of subgroup analysis on specific variables, the association between the risk of obstructive sleep apnea andsubjective health and health-related quality of life was statistically significant depending on gender, sleep time, presence of depression,household income, and number of household members. Based on the obstructive sleep apnea risk group, women had a higher correlation withlow subjective health and lower health-related quality of life scores than men. Sleeping time of more than 8 hours or less than 6 hours was moreassociated with low subjective health and lower health-related quality of life score than sleeping time of 6–8 hours. Patients with depressionwere more likely to have low subjective health than those without depression. The lower the household income level and the smaller thenumber of household members, the higher the association with low subjective health and the lower the health-related quality of life score.
Conclusion: It is essential to recognize that the risk of obstructive sleep apnea not only directly affects sleep disorders but also impactsindividuals’ subjective health and quality of life. Consequently, social support and education should be provided to raise awareness of this issue.
Particularly, programs for preventing and managing obstructive sleep apnea should target vulnerable groups such as women, individuals insingle-person households, low household income, and those with depression, aiming to improve their subjective health and quality of life.

영어초록

Background: This study aimed to identified the relationship between the risk of obstructive sleep apnea, subjective health, and health-relatedquality of life among the middle-aged and elderly population in Korea.
Methods: Adults aged 40 or older were extracted from the total 22,559 respondents to the 2019–2020 Korea National Health and NutritionExamination Survey VIII, and secondary analysis was conducted on a total of 6,659 middle-aged and elderly people with no missing values.
Logistic regression analysis and multiple regression analysis were conducted to examine the relationship between obstructive sleep apnea riskfactors and subjective health as well as quality of life.
Results: The subjective health status decline in the high-risk group compared to the non-risk group for obstructive sleep apnea was statisticallysignificantly higher, with an odds ratio of 1.84 (p<0.001). The health-related quality of life was also statistically significantly lower by 0.02 points(β, –0.02; p<0.001). As a result of subgroup analysis on specific variables, the association between the risk of obstructive sleep apnea andsubjective health and health-related quality of life was statistically significant depending on gender, sleep time, presence of depression,household income, and number of household members. Based on the obstructive sleep apnea risk group, women had a higher correlation withlow subjective health and lower health-related quality of life scores than men. Sleeping time of more than 8 hours or less than 6 hours was moreassociated with low subjective health and lower health-related quality of life score than sleeping time of 6–8 hours. Patients with depressionwere more likely to have low subjective health than those without depression. The lower the household income level and the smaller thenumber of household members, the higher the association with low subjective health and the lower the health-related quality of life score.
Conclusion: It is essential to recognize that the risk of obstructive sleep apnea not only directly affects sleep disorders but also impactsindividuals’ subjective health and quality of life. Consequently, social support and education should be provided to raise awareness of this issue.
Particularly, programs for preventing and managing obstructive sleep apnea should target vulnerable groups such as women, individuals insingle-person households, low household income, and those with depression, aiming to improve their subjective health and quality of life.

참고자료

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